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Ostomy Barrier with Flange, Flat, up to 4x4

South Dakota rates for HCPCS A4414

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 in or smaller, each

Rates data updated July 2026.

How much does Ostomy Barrier with Flange, Flat, up to 4x4 cost?

$6.61

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $6.31 from a physician practice, and about $7.41 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.31$4.68 to $7.94
FacilityA hospital or hospital-owned outpatient department$7.41$5.01 to $7.94

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $9Professionalmedian $6 · 10th to 90th $4 to $10
$2$5$10$20$50facility $7professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.68
Typical High
$9.33
Avera
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.24
Typical High
$7.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$9.77
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$7.59
Typical High
$12.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.37
Typical High
$33.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.59
Typical High
$7.59
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$12.30
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.92
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$3.24
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$4.57
Typical High
$8.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62

Where South Dakota sits

The same service costs 2.1 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 5th of 51

$6.61

KS $7.41CO $3.47

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.